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<span id="printtitle">IQCare User Guide V3.2</span><br />
<p class="p_Heading1"><span class="f_Heading1">Care Ended Form</span></p>
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<p>The Care Ended form can be created for each technical area. And as such the data dictionary for each version of the form may be different. There are a set of pre-defined fields available for the Care Ended form and there are a set of required fields that cannot be removed from the form.</p>
<p>&nbsp;</p>
<p><img src="careendedminimumfields.png" width="650" height="225" border="0" alt="CareEndedMinimumFields"></p>
<p>&nbsp;</p>
<div style="text-align: left; text-indent: 0px; padding: 0px 0px 0px 0px; margin: 0px 0px 0px 10px;"><table cellspacing="0" cellpadding="0" border="0" style="border: none; border-spacing:0px; border-collapse: collapse;">
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" bgcolor="#c0c0c0" style="width:154px; height:27px; background-color:#c0c0c0; border: solid 1px #000000;"><p><span style="font-weight: bold;">Field Label</span></p>
</td>
<td valign="top" width="154" bgcolor="#c0c0c0" style="width:154px; height:27px; background-color:#c0c0c0; border: solid 1px #000000;"><p><span style="font-weight: bold;">Database Table</span></p>
</td>
<td valign="top" width="148" bgcolor="#c0c0c0" style="width:148px; height:27px; background-color:#c0c0c0; border: solid 1px #000000;"><p><span style="font-weight: bold;">Field Name</span></p>
</td>
<td valign="top" width="230" bgcolor="#c0c0c0" style="width:230px; height:27px; background-color:#c0c0c0; border: solid 1px #000000;"><p><span style="font-weight: bold;">Business Rule</span></p>
</td>
<td valign="top" width="104" bgcolor="#c0c0c0" style="width:104px; height:27px; background-color:#c0c0c0; border: solid 1px #000000;"><p><span style="font-weight: bold;">Required for Saving</span></p>
</td>
<td valign="top" width="88" bgcolor="#c0c0c0" style="width:88px; height:27px; background-color:#c0c0c0; border: solid 1px #000000;"><p><span style="font-weight: bold;">Minimum Reporting</span></p>
</td>
<td valign="top" width="61" bgcolor="#c0c0c0" style="width:61px; height:27px; background-color:#c0c0c0; border: solid 1px #000000;"><p><span style="font-weight: bold;">Minimum Clinical</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" style="width:154px; height:13px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="154" style="width:154px; height:13px; border: solid 1px #000000;"><p>mst_Patient </p>
</td>
<td valign="top" width="148" style="width:148px; height:13px; border: solid 1px #000000;"><p>FirstName</p>
</td>
<td valign="top" width="230" style="width:230px; height:13px; border: solid 1px #000000;"><p>Auto filled</p>
</td>
<td valign="top" width="104" style="width:104px; height:13px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="88" style="width:88px; height:13px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="61" style="width:61px; height:13px; border: solid 1px #000000;"><p>Yes</p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" style="width:154px; height:13px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="154" style="width:154px; height:13px; border: solid 1px #000000;"><p>mst_Patient </p>
</td>
<td valign="top" width="148" style="width:148px; height:13px; border: solid 1px #000000;"><p>LastName</p>
</td>
<td valign="top" width="230" style="width:230px; height:13px; border: solid 1px #000000;"><p>Auto filled</p>
</td>
<td valign="top" width="104" style="width:104px; height:13px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="88" style="width:88px; height:13px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="61" style="width:61px; height:13px; border: solid 1px #000000;"><p>Yes</p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" style="width:154px; height:26px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="154" style="width:154px; height:26px; border: solid 1px #000000;"><p>mst_Patient </p>
</td>
<td valign="top" width="148" style="width:148px; height:26px; border: solid 1px #000000;"><p>PatientEnrollmentID</p>
</td>
<td valign="top" width="230" style="width:230px; height:26px; border: solid 1px #000000;"><p>Auto filled</p>
</td>
<td valign="top" width="104" style="width:104px; height:26px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="88" style="width:88px; height:26px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="61" style="width:61px; height:26px; border: solid 1px #000000;"><br>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" style="width:154px; height:13px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="154" style="width:154px; height:13px; border: solid 1px #000000;"><p>mst_Patient </p>
</td>
<td valign="top" width="148" style="width:148px; height:13px; border: solid 1px #000000;"><p>PatientClinicID</p>
</td>
<td valign="top" width="230" style="width:230px; height:13px; border: solid 1px #000000;"><p>Auto filled</p>
</td>
<td valign="top" width="104" style="width:104px; height:13px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="88" style="width:88px; height:13px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="61" style="width:61px; height:13px; border: solid 1px #000000;"><p>Yes</p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" style="width:154px; height:13px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="154" style="width:154px; height:13px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="148" style="width:148px; height:13px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="230" style="width:230px; height:13px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="104" style="width:104px; height:13px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="88" style="width:88px; height:13px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="61" style="width:61px; height:13px; border: solid 1px #000000;"><br>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" bgcolor="#99ccff" style="width:154px; height:13px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="154" bgcolor="#99ccff" style="width:154px; height:13px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="148" bgcolor="#99ccff" style="width:148px; height:13px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="230" bgcolor="#99ccff" style="width:230px; height:13px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="104" bgcolor="#99ccff" style="width:104px; height:13px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="88" bgcolor="#99ccff" style="width:88px; height:13px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="61" bgcolor="#99ccff" style="width:61px; height:13px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" style="width:154px; height:26px; border: solid 1px #000000;"><p>Date of Missed Scheduled Appointment</p>
</td>
<td valign="top" width="154" style="width:154px; height:26px; border: solid 1px #000000;"><p>dtl_PatientCareEnded </p>
</td>
<td valign="top" width="148" style="width:148px; height:26px; border: solid 1px #000000;"><p>MissedAppDate</p>
</td>
<td colspan="2" valign="top" style="height:26px; border: solid 1px #000000;"><p>Auto filled: Last appointment where AppStatus=Missed</p>
</td>
<td valign="top" width="88" style="width:88px; height:26px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="61" style="width:61px; height:26px; border: solid 1px #000000;"><p>Yes</p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" style="width:154px; height:144px; border: solid 1px #000000;"><p>Date of Last Actual Contact</p>
</td>
<td valign="top" width="154" style="width:154px; height:144px; border: solid 1px #000000;"><p>dtl_PatientTrackingCare</p>
</td>
<td valign="top" width="148" style="width:148px; height:144px; border: solid 1px #000000;"><p>DateLastContact</p>
</td>
<td valign="top" width="230" style="width:230px; height:144px; border: solid 1px #000000;"><p>Auto filled but editable</p>
<p>Check the latest date from the latest Enrollment/IE/FU visit date; Adult/Pediatric pharmacy DispensedByDate; Laboratory RepotedByDate; Home Visit last date for which the patient data was captured</p>
</td>
<td valign="top" width="104" style="width:104px; height:144px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="88" style="width:88px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="61" style="width:61px; height:144px; border: solid 1px #000000;"><p>Yes</p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" bgcolor="#99ccff" style="width:154px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="154" bgcolor="#99ccff" style="width:154px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="148" bgcolor="#99ccff" style="width:148px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="230" bgcolor="#99ccff" style="width:230px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="104" bgcolor="#99ccff" style="width:104px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="88" bgcolor="#99ccff" style="width:88px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="61" bgcolor="#99ccff" style="width:61px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><br>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" style="width:154px; height:65px; border: solid 1px #000000;"><p>Patient Exit Reason</p>
</td>
<td valign="top" width="154" style="width:154px; height:65px; border: solid 1px #000000;"><p>dtl_PatientCareEnded </p>
</td>
<td valign="top" width="148" style="width:148px; height:65px; border: solid 1px #000000;"><p>PatientExitReason</p>
</td>
<td valign="top" width="120" style="width:120px; height:65px; border: solid 1px #000000;"><p>Options: Configurable - Default available options are:</p>
<p>Death, Lost to Follow up, Transferred out, HIV Negative, Confirmed HIV Negative, Transfer to ART.</p>
<p>Custom reasons can be added.</p>
</td>
<td valign="top" width="104" style="width:104px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="88" style="width:88px; height:65px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="61" style="width:61px; height:65px; border: solid 1px #000000;"><p>Yes</p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" style="width:154px; height:13px; border: solid 1px #000000;"><p>Signature</p>
</td>
<td valign="top" width="154" style="width:154px; height:13px; border: solid 1px #000000;"><p>dtl_PatientCareEnded </p>
</td>
<td valign="top" width="148" style="width:148px; height:13px; border: solid 1px #000000;"><p>EmployeeID</p>
</td>
<td valign="top" width="230" style="width:230px; height:13px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="104" style="width:104px; height:13px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="88" style="width:88px; height:13px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="61" style="width:61px; height:13px; border: solid 1px #000000;"><br>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" style="width:154px; height:79px; border: solid 1px #000000;"><p>Date Care Ended</p>
</td>
<td valign="top" width="154" style="width:154px; height:79px; border: solid 1px #000000;"><p>dtl_PatientCareEnded </p>
</td>
<td valign="top" width="148" style="width:148px; height:79px; border: solid 1px #000000;"><p>CareEndedSignatureDate</p>
</td>
<td valign="top" width="230" style="width:230px; height:79px; border: solid 1px #000000;"><p>Care ended date must be greater than last contact date</p>
</td>
<td valign="top" width="104" style="width:104px; height:79px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="88" style="width:88px; height:79px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="61" style="width:61px; height:79px; border: solid 1px #000000;"><p>Yes</p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="154" style="width:154px; height:39px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="154" style="width:154px; height:39px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="148" style="width:148px; height:39px; border: solid 1px #000000;"><p>Print</p>
</td>
<td colspan="4" valign="top" width="240" style="width:240px; height:39px; border: solid 1px #000000;"><p>This button is used to take hard copy of the form. This is basically feature of paperless, but is implemented for non paperless too</p>
</td>
</tr>
</table>
</div>
<p>&nbsp;</p>
<p><span style="font-weight: bold;">Available Pre-defined Fields</span></p>
<p><img src="careendedpredefinedfields.png" width="328" height="559" border="0" alt="CareEndedPredefinedFields"></p>

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